Renal amyloidosis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omer Kamal, M.D. [2]

Overview

The hallmark symptoms of renal amyloidosis is proteinuria and hematuria. Other symptoms include edema, numbness or tingling in hands or feet. Common symptoms of renal amyloidosis include swelling of ankles and legs, severe fatigue, weakness, shortness of breath, diarrhea with blood, constipation, unintentional and significant weight loss.

History

Patients with renal amyloidosis may have a positive history of ^[1]^[2]

Idiopathic ( Primary (AL) amyloidosis
Amyloidosis secondary to:

.Hereditary amyloidosis due to amyloidogenic mutations:
- Transthyretin (TTR) (most common inherited mutation)
- Fibrinogen
- Apolipoprotein A1
- Apolipoprotein A2
- Lysozyme
- Gelsolin genes

Symptoms

Common Symptoms

Common symptoms of renal amyloidosis include:^[3]^[4]

Swelling of ankles and legs^[3]
Severe fatigue
Weakness
Shortness of breath
Diarrhea with blood
Constipation
Unintentional, significant weight loss

Less Common Symptoms

Less common symptoms of [disease name] include

Numbness or tingling in hands or feet (carpal tunnel syndrome)

References

↑ Said SM, Sethi S, Valeri AM, Leung N, Cornell LD, Fidler ME, Herrera Hernandez L, Vrana JA, Theis JD, Quint PS, Dogan A, Nasr SH (September 2013). “Renal amyloidosis: origin and clinicopathologic correlations of 474 recent cases”. Clin J Am Soc Nephrol. 8 (9): 1515–23. doi:10.2215/CJN.10491012. PMC 3805078. PMID 23704299.
↑ Mahmood S, Palladini G, Sanchorawala V, Wechalekar A (February 2014). “Update on treatment of light chain amyloidosis”. Haematologica. 99 (2): 209–21. doi:10.3324/haematol.2013.087619. PMC 3912950. PMID 24497558.
↑ ^3.0 ^3.1 Helin HJ, Korpela MM, Mustonen JT, Pasternack AI (February 1995). “Renal biopsy findings and clinicopathologic correlations in rheumatoid arthritis”. Arthritis Rheum. 38 (2): 242–7. PMID 7848315.
↑ Triger DR, Joekes AM (January 1973). “Renal amyloidosis–a fourteen-year follow-up”. Q. J. Med. 42 (165): 15–40. PMID 4688790.

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[pmid23704299-1] Said SM, Sethi S, Valeri AM, Leung N, Cornell LD, Fidler ME, Herrera Hernandez L, Vrana JA, Theis JD, Quint PS, Dogan A, Nasr SH (September 2013). “Renal amyloidosis: origin and clinicopathologic correlations of 474 recent cases”. Clin J Am Soc Nephrol. 8 (9): 1515–23. doi:10.2215/CJN.10491012. PMC 3805078. PMID 23704299.

[pmid24497558-2] Mahmood S, Palladini G, Sanchorawala V, Wechalekar A (February 2014). “Update on treatment of light chain amyloidosis”. Haematologica. 99 (2): 209–21. doi:10.3324/haematol.2013.087619. PMC 3912950. PMID 24497558.

[pmid7848315-3] 3.0 ^3.1 Helin HJ, Korpela MM, Mustonen JT, Pasternack AI (February 1995). “Renal biopsy findings and clinicopathologic correlations in rheumatoid arthritis”. Arthritis Rheum. 38 (2): 242–7. PMID 7848315.

[pmid4688790-4] Triger DR, Joekes AM (January 1973). “Renal amyloidosis–a fourteen-year follow-up”. Q. J. Med. 42 (165): 15–40. PMID 4688790.

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